This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Therapeutic Enigma

William L. Becker, MD; Ronald M. Burde, MD

Arch Ophthalmol. 1988;106(1):34-39.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Many patients with carotid artery disease experience a diversity of ocular symptoms (Table). Thus, the ophthalmologist (1) is often the first physician to see the patient or (2) is asked to act as a consultant to identify structural disease, to confirm or to exclude the presence of retinal emboli, or to perform noninvasive tests reflecting the patency of the carotid circulation. During the past decade, a number of techniques for the diagnosis of carotid artery disease have been developed. There has been a concomitant increase in the number of endarterectomies performed (15000 in 1971 to 103 000 in 1984)² on both symptomatic and asymptomatic patients. This rise has occurred despite little evidence to support the efficacy of the procedure.^3-5 The majority of endarterectomies fall into the category of prophylactic surgery, in which the patient can be either asymptomatic (ie, patients with neck bruits revealed at routine physical examination) . . . [Full Text PDF of this Article]

Author Affiliations
St Louis

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?